pain, coolness, pallor of the lower extremities and the absence of distal pulses bilaterally
Diagnosis should be established rapidly by MRI, CT
Emergency thrombectomy or revascularization is indicated
It often affects the ascending aorta and aortic arch, causing obstruction of the aorta and its major arteries
Pulseless disease
: frequent occlusion of the large arteries
Conservative therapy
Massage of gland
Sialogogue
Anti-inflammation(antibiotics)
Decisive parameters for the further management
Size
Location
distal duct, hilar region, intraparenchymal duct system
Number
Positional relationship of the stones to the surrounding tissue
Adhesive, impacted, mobile
Pain의 기전
VISCERAL PAIN
Visceral pain is transmitted by C fibers that are found in muscle, periosteum, mesentery, peritoneum, and viscera. Most painful stimuli from abdominal viscera are conveyed by this type of fiber and tend to be dull, cramping, burning, poorly localized, and more gradual in onset and longer in duration than somatic pain. Because abdominal organs transmit sensory af
구체적으로 아픈곳이 어떤 부위,,,
힘이 빠지면 어떤 정도 ,,,
1. Pain 유발 및 악화시키는 자세 및 행동
2. SLRT, Spulring sign,,, DDx위한 검사
3. Motor(운동)
4. Sensory(감각)
5. Reflex(반사)
SLRT(Straight Leg Raising Test,
Lasegue's sign--sciatic nerve)
< 60,
ankle dorsiflexion auguments pain, 83
1. 다음 중 시야(visual field) 장애 검사법은?
1) corneal reflex
2) confrontation test
3) Doll's eye movement
4) Snellen eye chart test
5) Weber test
답) 2번
1) 5번 신경을 이상을 알아보기 위한거죠.. 반사 회로는 5번으로 들어갔다가 7번으로 나옵니다.
2) 환자가 검사자의 코를 보게 한 후 검사자의 손을 밖에서부터 안으